College or university of the Korea Los Baños STUDENT LOAN PLANK PROGRAM (Revised October 13, 2005)

Program Number: Semester: Date Submitted: STUDENT LOAN LICENSE REQUEST FORM 4





1 . LOAN (For computation of OSA Financial loan Staff Only) Total Matriculation Fee (TMF) (100%) Amount of SLB Loan requested (TMF Times 0. 8) Cash Repayment upon Registration (TMF Times 0. 2) 2 . COLLEGE STUDENT BORROWER (Please write legibly in print) I have the glory to apply for Student Loan from the University Student Loan Table Fund. Pertaining to value received, I assurance to pay out the College or university the said amount additionally interest in or before due date which is ________________________. Important: ____ New Applicant intended for SLB ____ Old Consumer (pls specify last term of application)_____Semester _______ Name of Student: (Surname) Student / IDENTITY Number: University / Program / Category Parent's Term: Permanent Emailing Address: (House No . /Street/Subd. ) (Town) Contact Number (Student) Landline,

Cellular phone No ., /Email Address, if perhaps Any:

......... Php......... Php......... Php

(First Name)


Personal unsecured

(Barangay) (Province / City)

3. CERTIFICATION 3a. School Secretary The above-named pupil applying for SLB Loan is known as a bonafide student of this college or university.

College Secretary 3b. Co-Debtor (Parent/Relative)


I are willing and capable of serving because co-debtor of the above-named college student who is trying to get SLB Financial loan. Name of Co-Debtor: Branded Name Romantic relationship to Debtor (Pls. Check) Parent Comparable Co-Debtor's Total Address: Contact Number (Co-Debtor) Landline, Cellphone No ., /Email Address, if Any: 4. APPROVED / DISAPPROVED Director, OSA (Chairman, SLB) Rules / Requirements to get SLB Bank loan 1 . installment payments on your 3. some. 5. Maximum loan is usually 80% of total assessed fees for 3% interest rate per session. A co-debtor shall assurance any loan application. Acceptable co-debtors are father and mother and family members of the scholar (excerpts from your minutes from the 1201th Appointment of the Table of Regents,...


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